目的研究早产儿母亲焦虑抑郁情况及焦虑抑郁水平与其泌乳量的相关性。方法以广州市增城区永宁街永和社区卫生服务中心2016年6月-2018年6月入院分娩的产妇为研究对象,按照自愿参与的原则共纳入84例早产产妇,对其分别使用焦虑自测量表(Self-rating Anxiety Scale,SAS)与抑郁自测量表(Self-rating depression scale,SDS)进行焦虑与抑郁水平的评估,按照有无焦虑抑郁症状进行分组。采取调查法在患儿住院期间产妇泌乳量进行持续跟踪测定,对比有焦虑抑郁症状组(研究组)与无焦虑抑郁症状组(对照组)产妇的泌乳量差异,并分析焦虑抑郁因素。结果 84例产妇中有65例存在焦虑抑郁症状,均为焦虑抑郁合并出现,占比77. 38%,19例未出现焦虑抑郁症状,占比22. 62%;研究组与对照组的日均泌乳量差异具有统计学意义(t=8. 355,P <0. 05);焦虑量表得分与抑郁量表得分存在一定的相关性,焦虑与抑郁程度与泌乳量呈现负相关关系,相关系数为-0. 977与-0. 972,P=0. 000;新生儿的生存状态为影响其焦虑抑郁水平的主要原因,占比96. 92%,其次为经济压力,占比87. 69%,医疗服务差为影响产妇焦虑抑郁水平程度最低的因素,占比29. 23%。结论焦虑抑郁水平越高则早产儿母亲的泌乳量越低,早产儿状态、经济压力等是产妇焦虑抑郁症状产生的重要因素。

Objective To study the relationship between anxiety and depression and lactation of premature infants' mothers.Methods The maternal delivery from June 2016 to June 2018 in our hospital was studied,according to the principle of voluntary participation. a total of 84 pregnant women with preterm delivery were included according to the principle of voluntary participation.and they were divided into groups according to whether they had anxiety and depression symptoms or not,and the self-rating Anxiety Scale( SAS) and Self-rating depression scale( SDS) were used to evaluate their level of anxiety and depression. The lactation volume of pregnant women during hospitalization was continuously monitored by investigation method. The lactation volume of pregnant women with anxiety and depression symptoms( study group) and without anxiety and depression symptoms( control group) were compared,and the factors of anxiety and depression were analyzed. Results Among the 84 women,65 had anxiety and depression symptoms,including a combination of anxiety and depression,accounting for 77. 38%,and 19 patients did not experience anxiety and depression,accounting for 22. 62%. There was significant difference in daily milk yield between the study group and the control group( t = 8. 325,P < 0. 05). There was a certain correlation between the score of anxiety scale and the score of depression scale,and there was a negative correlation between the degree of anxiety and depression and the amount of lactation. The correlation coefficient were-0. 977 and-0. 972,P = 0. 000; neonatal survival status is the main factor affecting the level of anxiety and depression,accounting for96. 92%,followed by economic pressure,accounting for 87. 69%. Poor medical service was the lowest factor affecting maternal anxiety and depression,accounting for 29. 23%. Conclusion The higher the level of anxiety and depression,the lower volume of premature mothers' lactation.. The status of premature infants and economic pressure are important factors for the occurrence of anxiety and depression symptoms of pregnant women.